Rubeola scarlatinosa

Filatow 1886, Dukes 1900.

4. infectious disease, Fourth disease,  Dukes disease, Fourth disease, Rubeola scarlatiniformia, Parascarlatina, Dukes-Filatow disease.

Doubtfully independent exanthematic infectious disease that occurs in children. It is possibly a form of rubella or an abortive form of scarlet fever.

• Transmission: droplet infection.
• Incubation period: 9-20 days.
• Pathogen: Staph. aureus, mostly phage type 71.
• It is assumed that the exotoxin (epidermolysin) of Staph. aureus, mostly phage type 71 triggers the skin changes.

• Prodromal stage: as in measles and rubella.
• Exanthem stage: rubeoliform or small-spotted scarlatiniform exanthema.

• Anamnesis
• Clinical features

Predisposing sites are the intertrigines and neck region.

Mostly without complications.

• Bed rest

Antipyretic measures

• Calf compress
• Paracetamol
• Application: > 12 y. (>40 kg): single dose (ED): 500-1000 mg, max. daily dose (TD): 4 g.
• 9-12 y. (30-40 kg): ED: 500 mg, max. TD: 2 g.
• 6-9 y. (22-30 kg): ED: 250-500 mg, max. TD: 750 mg.
• KI: liver damage, renal insufficiency, acute hepatitis, Meulengracht's disease, pregnancy, lactation.

Topical therapy

• Lotio alba

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4. Barson WJ. Anterior uveitis associated with septic staphylococcal scarlet fever. Pediatr Infect Dis 1986;5:385-6.
5. Okubo Y, Akaishi K, Fukui A, Hojo H. [Four Cases of "Staphylococcal Scarlet Fever"]. Shonika Kiyo 1963;9:215-2